PMID- 36714594 OWN - NLM STAT- MEDLINE DCOM- 20230131 LR - 20230619 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 13 DP - 2022 TI - The value of HDL subfractions in predicting cardiovascular outcomes in untreated, diabetic patients with stable coronary artery disease: An age- and gender-matched case-control study. PG - 1041555 LID - 10.3389/fendo.2022.1041555 [doi] LID - 1041555 AB - OBJECTIVE: The aim of the present study was to examine the value of high-density lipoprotein (HDL) subfractions for predicting cardiovascular events (CVEs) in untreated type 2 diabetes mellitus (T2DM) patients with stable coronary artery disease (SCAD) using an age- and gender-matched case-control study. METHODS: In total, 185 SCAD patients and 185 T2DM patients with SCAD were enrolled and subjected to a clinical follow-up of CVEs. HDL subfractions were analyzed using the Quantimetrix Lipoprint System. The relationship between HDL subfractions and CVEs in T2DM patients with SCAD was evaluated by Kaplan-Meier analysis and Cox proportional hazard models. RESULTS: During a median 37.7-month follow-up, T2DM patients with SCAD had a higher percentage of CVEs compared to SCAD patients (p=0.039). The concentration of the combined intermediate and small HDL-C subfraction (defined as the mixed HDL subfraction) was related to the event incidence in T2DM patients with SCAD (p=0.004), and it was positively associated with increased CVEs even after adjustment in three models. Kaplan-Meier curve analysis indicated that T2DM patients with SCAD in the high mixed HDL subfraction group (>28 mg/dL) had lower event-free survival rates (p=0.008). CONCLUSIONS: Elevated concentration of the mixed HDL subfraction concentration predicts events in T2DM patients with SCAD. CI - Copyright (c) 2023 Zhang, Jin, Zhang, Zhu, Dong, Sun, Guo, Dou, Xu and Li. FAU - Zhang, Wei AU - Zhang W AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Jin, Jinglu AU - Jin J AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Zhang, Huiwen AU - Zhang H AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Zhu, Yaxin AU - Zhu Y AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Dong, Qian AU - Dong Q AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Sun, Jing AU - Sun J AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Guo, Yuanlin AU - Guo Y AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Dou, Kefei AU - Dou K AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Xu, Ruixia AU - Xu R AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Li, JianJun AU - Li J AD - State Key Laboratory of Cardiovascular Disease, Cardiometabolic Medicine Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230112 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 RN - 0 (Cholesterol, HDL) RN - 0 (Lipoproteins, HDL) SB - IM EIN - Front Endocrinol (Lausanne). 2023 Jun 01;14:1208564. PMID: 37334289 MH - Humans MH - *Coronary Artery Disease/complications MH - *Diabetes Mellitus, Type 2/complications MH - Case-Control Studies MH - Cholesterol, HDL MH - Lipoproteins, HDL PMC - PMC9877453 OTO - NOTNLM OT - cardiovascular events OT - coronary artery disease OT - diabetes OT - high-density lipoprotein subfractions OT - predicting value COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/01/31 06:00 MHDA- 2023/02/01 06:00 PMCR- 2023/01/12 CRDT- 2023/01/30 04:32 PHST- 2022/09/11 00:00 [received] PHST- 2022/12/28 00:00 [accepted] PHST- 2023/01/30 04:32 [entrez] PHST- 2023/01/31 06:00 [pubmed] PHST- 2023/02/01 06:00 [medline] PHST- 2023/01/12 00:00 [pmc-release] AID - 10.3389/fendo.2022.1041555 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2023 Jan 12;13:1041555. doi: 10.3389/fendo.2022.1041555. eCollection 2022.